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Professionalism and Professional Standards for Nurses and Midwives

Course Description

Ethical Boundaries with Patients and Colleagues (New Zealand) is a CPD course designed to help healthcare professionals recognise, maintain, and evidence safe boundaries in both patient care and professional relationships.

Boundary concerns are among the most common and serious issues raised in fitness-to-practise (FtP) cases. Regulators such as the MCNZ, NCNZ, Pharmacy Council, Dental Council, and HPCA authorities emphasise that lapses in sexual, financial, emotional, or collegial boundaries undermine trust, compromise safety, and damage professional credibility.

This course explores ethical boundaries in both patient and team contexts, outlines regulator expectations, and provides practical strategies for recognising risks, responding appropriately, and embedding safe boundaries into daily practice.

Course Content

Course Objectives
Course Objectives
Section 1: Introduction — Why Ethical Boundaries Matter in New Zealand Healthcare
1.1 Why Boundaries Matter for Patients
1.2 Why Boundaries Matter for Colleagues
1.3 Why Boundaries Matter for Regulators
1.4 Boundaries Beyond Compliance
1.5 Reflective Quiz for Section 1
Section 2: Defining Ethical Boundaries — Patients, Colleagues, and Power Imbalances
2.1 Ethical Boundaries with Patients
2.2 Ethical Boundaries with Colleagues
2.3 The Role of Power Imbalances
2.4 Characteristics of Healthy Ethical Boundaries
2.5 Why Ethical Boundaries Matter
2.6 Reflective Quiz for Section 2
Section 3: Regulator Perspectives — MCNZ, NCNZ, Pharmacy Council, Dental Council, HPCA Authorities
3.1 Medical Council of New Zealand (MCNZ)
3.2 Nursing Council of New Zealand (NCNZ)
3.3 Pharmacy Council of New Zealand
3.4 Dental Council of New Zealand
3.5 HPCA Authorities (Allied Health Professions)
3.6 Shared Regulator Themes
3.7 Reflective Quiz for Section 3
Section 4: Types of Boundary Risks — Sexual, Financial, Emotional, Collegial, and Digital
4.1 Sexual Boundaries
4.2 Financial Boundaries
4.3 Emotional Boundaries
4.4 Collegial Boundaries
4.5 Digital Boundaries
4.6 Why Boundary Risks Matter
4.7 Reflective Quiz for Section 4
Section 5: Weak vs Strong Responses to Boundary Breaches
5.1 Characteristics of Weak Responses
5.2 Characteristics of Strong Responses
5.3 Case Comparison — Medicine (Sexual Boundaries)
5.4 Case Comparison — Nursing (Emotional Boundaries)
5.5 Case Comparison — Dentistry (Financial Boundaries)
5.6 Case Comparison — Collegial Boundaries
5.7 Why Strong Responses Persuade Regulators
5.8 Reflective Quiz for Section 5
Section 6: Case Studies — Boundary Lapses and Lessons Learned in New Zealand
6.1 Medicine — Sexual Boundaries
6.2 Nursing — Emotional Boundaries
6.3 Pharmacy — Digital Boundaries
6.4 Dentistry — Financial Boundaries
6.5 Allied Health — Collegial Boundaries
6.6 Shared Lessons Across Professions
6.7 Reflective Quiz for Section 6
Section 7: Remediating Boundary Concerns — CPD, Supervision, and Reflection
7.1 CPD (Continuing Professional Development)
7.2 Supervision and Mentorship
7.3 Reflection and Insight
7.4 Combining CPD, Supervision, and Reflection
7.5 Why Remediation Matters
7.6 Reflective Quiz for Section 7
Section 8: Presenting Boundary Awareness in Portfolios and Hearings
8.1 Boundary Awareness in Portfolios
8.2 Boundary Awareness at Hearings
8.3 Weak vs Strong Presentations
8.4 Linking Evidence Effectively
8.5 Why Presentation Matters
8.6 Practical Tips for Portfolios and Hearings
8.7 Reflective Quiz for Section 8
Section 9: Embedding Ethical Boundaries into Daily Practice and Professional Identity
9.1 Boundaries as Part of Professional Identity
9.2 Daily Habits that Reinforce Boundaries
9.3 Mentorship and Role Modelling
9.4 Building Resilience to Maintain Boundaries
9.5 Boundaries Across a Career
9.6 Reflective Quiz for Section 9
Section 10: Conclusion and Key Takeaways
Conclusion and Key Takeaways
Post-Course Assessment
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